Question 1

What assessment findings indicate venous thrombosis in a patient?

Accepted Answer

Clinical signs include edema in extremities, cyanosis of the extremities and face, pain, and increased extremity size compared to the unaffected side. Upon palpation, nurses observe taut, shiny, warm skin, redness, and tenderness. Diagnostic findings may include elevated D-dimer levels confirmed with venous compression on duplex ultrasound, CT, or magnetic resonance imaging.

Question 2

How do nurses monitor anticoagulant therapy in venous thrombosis patients?

Accepted Answer

Nurses monitor anticoagulant effects through appropriate lab results including INR, aPTT, ACT, and anti-factor Xa levels. They also review complete blood count, creatinine, hemoglobin, hematocrit, platelet levels, and liver enzymes. Observation for bleeding signs such as tachycardia, hypotension, melena, hematuria, petechiae, and bruising is essential for patient safety.

Question 3

What nursing diagnoses are formulated for patients with venous thrombosis?

Accepted Answer

Primary nursing diagnoses include ineffective tissue perfusion related to interruption in venous blood flow, acute pain related to vascular inflammation and irritation, and deficient knowledge regarding disease and treatment. These diagnoses are based on assessment findings such as edema, cyanosis, pain, and patient expressions of discomfort or misconceptions about the condition.

Question 4

What interventions prevent venous stasis in immobilized patients with thrombosis?

Accepted Answer

Nurses reposition bed-bound patients every two hours and encourage leg and foot exercises to prevent venous stasis. Ambulatory patients should walk four to six times daily. Applying intermittent pneumatic compression or graduated compression stockings as prescribed helps maintain circulation and reduce edema in affected extremities.

Question 5

What patient education is essential for those on anticoagulant therapy?

Accepted Answer

Patients must take medication consistently at the same time daily and avoid high-risk activities and excessive alcohol. Those on warfarin should avoid significant dietary changes in vitamin K-rich foods and vitamin K supplements. Patients must report bleeding manifestations promptly, including black stools, bloody urine, bleeding gums, and excessive bruising to their healthcare provider.

Question 6

What risk factors should nurses assess when evaluating for venous thrombosis?

Accepted Answer

Key risk factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, prolonged bed rest, atrial fibrillation, heart failure, cancer, coagulation disorders, and prolonged travel. Medications such as oral contraceptives, hormone therapy, and corticosteroids increase thrombosis risk. Dehydration and recent bone fractures also contribute to venous thromboembolism development.

Question 7

How should nurses educate patients about pulmonary embolism warning signs?

Accepted Answer

Nurses teach patients and caregivers the signs of pulmonary embolism, emphasizing the importance of seeking emergency help if symptoms occur. Education includes recognizing acute respiratory distress, chest pain, and hemoptysis. Collaboration with interprofessional teams ensures comprehensive patient understanding of thrombosis complications and appropriate emergency response protocols.

정맥 혈전 색전증 IV: 간호 관리

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